H 


M    S  ^  ^ 


R.   D.  1. 

REVISEI3 


REGULATIONS 


OF    TIIK 


RELIEF  DEPARTMENT 


OK    TIIK 


ATLANTIC    COAST   LINE 
RAILROAD  COMPANY. 


OPERATIVE, 
APRIL  1st,   1904. 


Digitized  by  the  Internet  Archive 

in  2012  with  funding  from 

University  of  North  Carolina  at  Chapel  Hi 


http://www.archive.org/details/revisedregulatioOOatla . 


REVISED 

REGULATIONS 

OF    THE 

RELIEF  DEPARTMENT 


ATLANIC    COAST    LINE 
RAILROAD  COMPANY. 

OPERATIVE     APRIL     1ST,    1904. 


GENERAL. 


I.  The  "Relief  Department"  is  a  depart- 
ment of  the  Company's  service,  of  the  nature 
of  a  mutual  benefit  association,  and  in  the 
Executive  charge  of  a  Superintendent,  whose 
directions  in  carrying  out  its  Regulations  are 
to  be  complied  with,  subject  to  the  control  of 
the  President,  except  in  such  matters  as  are 
under  the  control  of  the  Advisory  Committee, 
as  hereinafter  provided. 

Wherever  in  these  Regulations  the  follow- 
ing words  occur  without  qualification  they 
will  have  the  meaning  herein  defined  :  "Com- 
pany" will  mean  the  Atlantic  Coast  Line 
Railroad  Company  ;  "President,'"'  "Board  of 


Directors,'5  and  "Relief  Department"  or 
"Department,"  will  mean  the  President, 
Board  of  Directors  and  Relief  Department, 
respectively,  of  said  Company  ;  "Relief 
Fund,"  "Advisory  Committee,"  or  "Com- 
mittee," "Superintendent,"  "Chief  Sur- 
geon," and  "Medical  Examiner"  will  mean 
the  Relief  Fund,  Advisory  Committee,  Su- 
perintendent, Chief  Surgeon,  and  Medical 
Examiner,  respectively,  of  said  Relief  De- 
partment. 

2.  The  object  of  the  Department  is  the 
establishment  and  management  of  a  fund,  to 
be  known  as  the  "Relief  Fund,"  for  the 
payment  of  definite  amounts  to  employes  con- 
tributing thereto,  who  are  to  be  known  as 
"Members  of  the  Relief  Fund,"  when  under 
the  Regulations  they  are  entitled  to  such  pay- 
ment by  reason  of  accident  or  sickness,  or,  in 
the  event  of  their  death,  to  the  relatives  or 
other  beneficiaries  designated  by  them  with 
the  approval  of  the  Superintendent. 

3.  The  Relief  Fund  will  consist  of  con- 
tributions from  members  thereof,  income  de- 
rived from  investments  and  from  interest  paid 
by'the  Company  and  advances  by  the  Com- 
pany, when  necessary,  to  pay  benefits  as  they 
become  due. 

4.  The  Company  shall  have  general  charge 
of  the  Department,  guarantee  the  fulfillment 
of  its  obligations  as  determined  by  these  Reg- 
ulations, take  charge  of  all  moneys  belonging 
to  the  Relief  Fund,   and   be   responsible  for 


their  safe  keeping,  pay  into  the  Fund  interest 
at  the  rate  of  four  per  cent,  per  annum  on 
monthly  balances  in  its  hands,  supply  the 
necessary  facilities  for  conducting  the  busi- 
ness of  the  Department,  and  pay  all  the  oper- 
ating expenses  thereof. 

5.  There  shall  be  an  Advisory  Committee, 
constituted  as  follows  :  The  General  Mana- 
ger of  the  Atlantic  Coast  Line  Railroad  Com- 
pany shall  be  ex-officio  a  member  and  Chair- 
man. 

Besides  the  Chairman  there  shall  be  twelve 
other  members  of  the  Committee,  of  whom  six 
shall  be  chosen  annually  by  the  Board  of  Di- 
rectors, and  six  shall  be  chosen  annually  in 
the  month  of  November  by  the  employes, 
members  of  the  Relief  Fund,  from  among 
themselves  by  Electoral  Divisions,  each  Elec- 
toral Division  choosing  one  representative. 
The  extent  of  each  Electoral  Division  shall  be 
from  time  to  time  determined  by  the  President. 

The  twelve  elective  members  shall  serve  for 
one  year  from  the  first  day  of  January  next 
succeeding  their  election,  or  until  their  suc- 
cessors are  chosen. 

6.  The  members  of  the  Committee  chosen 
by  the  members  of  the  Relief  Fund  shall  be 
elected  by  ballot,  the  vote  being  taken  and 
certified  under  oath  by  tellers  selected  by  the 
members  of  the  Committee  who  represent  the 
members  of  the  Relief  Fund. 

In  balloting  for  members  of  the  Committee 
each  member  of  the  Relief  Fund  shall  be  en- 
titled to  cast  one  vote. 


6 

In  the  event  of  the  termination  of  service  of 
any  member  of  the  Committee,  his  member- 
ship on  the  Committee  shall  thereupon  termi- 
nate. 

Any  vacancy  among  the  members  elected, 
by  the  contributing  employes  shall  be  filled 
by  the  succession  to  the  position  of  the  em- 
ploye on  the  same  Electoral  Division  who  re- 
ceived the  next  highest  number  of  votes  to  the 
retiring  member. 

Any  vacancy  among  the  members  chosen 
by  the  Board  of  Directors  shall  be  filled  by 
appointment  by  the  President. 

Such  members  shall  serve  until  their  suc- 
cessors are  chosen  as  above  provided. 

The  Superintendent  shall  be  Secretary  of 
the  Committee. 

7.  Should  any  other  corporation  or  cor- 
porations, associated  in  interest  with  this  Com- 
pany, adopt  or  have  adopted  Regulations 
establishing  a  Relief  Department  or  Relief 
Departments  similar  to  the  one  hereby  estab- 
lished, this  Company  may  associate  itself  with 
such  corporation  or  corporations  in  the  ad- 
ministration of  its  and  their  Relief  Depart- 
ments when  so  authorized  by  the  respective 
Boards  of  Directors  of  this  and  said  corpora- 
tion or  corporations. 

-  Such  association  shall  be  evidenced  by 
agreement  or  agreements  duly  executed  au- 
thorizing, among  other  things,  the  constitu- 
tion of  a  joint  Advisory  Committee,  to  be 
chosen,  as  and  in  the  manner  therein  pre- 
scribed,  by  the   several  parties    thereto  and 


7 

their  employes,  either  by  separate  action  in 
behalf  of  each  of  said  parties  or  by  the  united 
action  of  two  or  more  of  them  as  to  any  mem- 
ber or  members  of  said  Advisory  Committee, 
the  original  Advisory  Committee  to  be  con- 
stituted and  vacancies  occurring  thereafter  to 
be  filled  in  such  manner  as  shall  be  prescribed 
in  said  agreement  or  agreements. 

In  the  event  of  any  association  as  aforesaid, 
the  functions  and  powers  herein  given  to  and 
vested  in  the  Advisory  Committee  created  as 
hereinbefore  provided  shall,  during  the  con- 
tinuance of  said  agreement  or  agreements,  be 
transferred  to  and  vested  in  the  Advisory 
Committee  constituted  as  prescribed  in  said 
agreement  or  agreements,  chosen  or  designa- 
ted as  therein  directed,  and  so  much  of  the 
Regulations  of  the  Relief  Department  herein 
provided  for  as  relates  to  the  constitution  of 
an  Advisory  Committee  consisting  solely  of 
officers  and  employes  of  this  Company,  shall 
be  suspended  with  the  understanding,  how- 
ever, that  upon  the  termination  of  such  agree- 
ment or  agreements  the  Advisory  Committee 
herein  provided  for,  constituted  as  herein  pre- 
scribed, shall  reassume  the  functions  and 
duties  committed  to  it. 

8.  The  Committee  shall  have  general  su- 
pervision of  the  operations  of  the  Department 
and  see  that  they  are  conducted  in  accordance 
with  the  Regulations. 

The  Committee  shall  hold  stated  meetings 
once  in  three  months  at  such  time  and  place 


,8 

as   they   may   determine,    and  shall    meet  at 
other  times  at  the  call  of  the  Chairman. 

It  shall  be  the  duty  of  the  Chairman  to  call 
special  meetings  of  the  Committee  upon  the 
written  request  of  three  of  its  members. 

9.  The  Superintendent  shall  have  charge 
of  all  business  pertaining  to  the  Department. 
He  shall  employ  such  clerks  and  other  assist- 
ants as  may  be  necessary,  prescribe  the  forms 
and  blanks  to  be  used,  certify  all  bills  and 
pay  rolls  of  the  Department,  sign  all  orders 
for  the  payment  of  benefits,  furnish  the  Com- 
mittee such  reports  as  they  may  require,  de- 
cide all  questions  properly  referred  to  him, 
and  exercise  such  other  authority  as  may  be 
conferred  upon  him  by  the  President  or  by 
the  Committee. 

10.  There  shall  be  an  Assistant  Superin- 
tendent, who  shall  be  possessed  of  all  the 
powers  of  the  Superintendent  in  his  absence, 
and  shall  at  all  times  perform  such  duties  as 
may  be  assigned  to  him  by  the  Superintendent. 

11.  There  shall  be  a  Chief  Surgeon,  who 
shall,  subject  to  the  approval  and  control  of 
the  Superintendent,  appoint  Medical  Exam- 
iners, assign  them  to  districts,  direct  their 
work,  and  have  general  supervision  of  the 
medical  and  surgical  affairs  of  the  Depart- 
ment. The  Chief  Surgeon  may  be  the  same 
person  as  the  Superintendent  or  Assistant  Su- 
perintendent. 

The  Superintendent,  Assistant  Superinten- 
dent, and  Chief  Surgeon  shall  be  designated 
by  the  President. 


12.  The  Medical  Examiners  shall  make 
the  required  physical  examination  of  appli- 
cants for  membership  in  the  Relief  Fund, 
prepare  applications,  report  the  condition  ot 
sick  or  injured  members,  decide  when  mem- 
bers are  disabled  and  when  they  are  able  to 
work,  prepare  claims  for  benefits,  certify  bills 
for  surgical  treatment,  perform  such  other 
duties  as  may  be  required  of  them  by  the 
Chief  Surgeon,  and  conform  to  such  rules  as 
he  may  establish. 

13.  The  monej^s  received  for  the  Relief 
Fund  shall  be  held  by  the  Company  in  trust 
for  the  Department.  The  Committee  shall 
recommend  the  investment,  and  any  changes 
therein,  of  money  which  is  not  required  for 
immediate  use  ;  but  the  Company  being  the 
Trustee  and  Guarantor  of  the  Relief  Fund, 
the  investments  shall  be  in  such  securities  as 
shall  have  been  approved  by  the  Board  of 
Directors,  and  shall  be  in  the  name  of  the 
Company '  'in  trust  for  the  ReliefDepartment.' ' 

14.  If  the  amount  contributed  by  the 
members  of  the  Relief  Fund,  with  interest  and 
other  income",  shall  not  be  sufficient  to  pay 
the  benefits  as  they  become  due,  the  Company 
shall  advance  from  its  own  funds  whatever 
sums  may  be  necessary  for  this  purpose,  reim- 
bursing itself  if  and  when  the  contributions  ot 
members  with  interest  and  other  income  are 
sufficient  therefor,  and  if  at  any  time  there 
shall  be  a  surplus  after  making  due  allowance 
for  liabilities,  greater  than  seems  necessary  to 
meet  current  benefits  and  to  provide  a  reason- 


to 

able  contingent  fund,  such  surplus  shall  be 
used  in  increasing  the  benefits  to  members  in 
such  manner  as  may  be  determined  by  a  vote 
of  two-thirds  of  the  Committee,  and  approved 
by  the  Board  of  Directors. 

15.  The  fiscal  year  of  the  Department 
shall  begin  with  the  first  day  of  January  of 
each  year. 

The  condition  of  the  Relief  Fund  at  the 
close  of  each  fiscal  year  sha  1  be  audited  and 
reported  on  by  competent  person  or  persons 
selected  for  that  purpose  by  the  members  of 
the  Committee  who  represent  the  members  of 
the  Relief  Fund. 

16.  Amendments  to  the  Regulations  ol 
the  Department  rrjay  be  proposed  to  the  Com- 
mittee, at  any  stated  or  special  meeting,  by 
any  member  of  the  Committee.  Amendments 
so  proposed  may  be  acred  upon  onlv  at  a 
subsequent  stated  or  special  meeting  ;  but  no 
amendment  shall  b?  operative  unless  adopted 
by  a  vote  in  the  affirmative  of  a  majority  of 
the  whole  Committee,  approved  by  the  Board 
of  Directors,  and  duly  announced  by  the 
Superintendent ;  and  any  amendment  so 
adopted,  approved,  and  announced,  shall  be 
binding  upon  the  Company  and  the  members 
of  the  Relief  Fund  and  all  persons  claiming 
through  them  from  the  date  specified  in  the 
announcement  of  the  same. 

MEMBERSHIP. 

17.  All  employes  of  the  Company  who, 
under  the  Regulations,  are  contributors  to  the 


11 

Relief  Fund  shall  be  designated  as  "members 
of  the  Relief  Fund." 

18.  In  referring  to  employes  of  the  Com- 
pany, the  word  "service"  shall  mean  em- 
ployment by  this  Company,  or  by  any  Com- 
pany associated  with  it  in  the  administration 
of  their  Relief  Departments  ;  and  the  service 
of  any  employe  shall  be  regarded  as  contin- 
uous for  the  time  during  which  he  has  been 
continuously  in  the  employ  of  this  Company 
and  any  one  or  more  of  the  associated  Com- 
panies. 

19.  There  shall  be  five  classes  of  members. 
The  highest  class  in  which  an  employe  may 
be  a  member  shall  be  determined  by  his  regu- 
lar or  usual  monthly  pay,  as  follows  : 

Monthly  Pny.  Higlnst  Class. 

Less  than  $35.00 1st. 

$35.00  or  more,  but  less  than  $55.00 2nd. 

$55.00  or  more,  but  less  than  $75.00 3rd. 

$75.00  or  more,  but  less  than  $95.00 4th. 

$95.00  or  more 5th. 

For  employes  paid  by  the  hour,  trip,  piece, 
or  in  any  other  way  than  by  the  month,  the 
highest  class  shall  be  determined  by  the  usual 
amount  of  earnings  in  a  month. 

For  persons  in  the  service  of  this  Company, 
and  of  one  or  more  of  the  Companies  asso- 
ciated with  it  in  the  administration  of  their 
Relief  Departments,  the  highest  class  shall  be 
determined  by  the  total  pay  received  from  all 
such  Companies,  and  the  membership  shall  be 


12 

in  the  Relief  Fund   of  this  Company,  if  the 
largest  amount  is  received  therefrom. 

20.  Any  employe  not  over  forty-five  years 
of  age  may,  upon  passing  a  satisfactory  physi- 
cal examination,  and  upon  approval  of  his 
application  by  the  Superintendent,  become  a 
member  in  the  highest  class  allowed  by  his 
pay,  or  in  any  lower  class,  with  or  without 
additional  death  benefits  of  the  first  class  not 
greater  in  the  aggregate  than  three  times  the 
death  benefit  of  the  class  he  enters. 

21.  Any  member  not  over  forty-five  3^ears 
of  age  may,  upon  passing  a  satisfactory  phy- 
sical examination,  and  upon  approval  of  his 
application  by  the  Superintendent,  change  to 
any  higher  class  allowed  by  his  pay  or  take 
additional  death  benefits  of  the  first  class  to 
such  extent  that  the  aggregate  of  additional 
death  benefits  shall  not  exceed  three  times  the 
death  benefit  of  the  class  in  which  he  is  or 
becomes  a  member. 

22.  Any  member  may,  by  executing  an 
application  as  hereinafter  provided,  chancre  to 
a  lower  class,  or  relinquish  all  or  a  part  of 
his  additional  death  benefits. 

23.  When  a  member  voluntarily  changes 
from  a  higher  to  a  lower  class,  the  amount  of 
his  death  benefit  shall  not  exceed  the  maxi- 
mum obtainable  in  the  lower  class. 

24.  An  employe  cannot  remain  a  member 
in  a  class  higher  than  that  allowed  by  his  pay, 
but  when  the  pay  of  a  member  is  reduced  he 
shall  not  be  required  to  make  any  change  in 


13 

the  amount  of  his  death  benefit ;  and  any  ex- 
cess of  death  benefit  above  that  to  which  he  is 
entitl  d  by  his  new  class  shall  be  treated  as 
additional  death  benefit. 

If  a  member  declines  to  effect  a  proper  re- 
duction of  class  under  the  foregoing,  the 
Superintendent  shall  have  the  authority  to 
cancel  his  membership. 

25.  When  a  member  of  the  Relitf  Fund 
of  any  one  of  the  Companies  associated  with 
this  Company  in  the  administration  of  their 
Relief  Departments  is  transferred  to  the  ser- 
vice of  this  Company,  his  member.^hip  shall 
thereby  be  transferred  to  the  Relief  Fund  of 
this  Company. 

26.  Any  member  who  is  furloughed,  sus- 
pended, or  otherwise  relieved  from  the  ser- 
vice for  a  period  not  exceeding  thirty  days 
may  retain  his  membership  during  such  ab- 
sence by  paying  his  contribution  in  advance. 

His  District  Officer  or  Head  of  Department 
shall  notify  the  Superintendent  at  the  begin- 
ning of  such  absence,  specifying  the  time  set 
for  return  to  duty,  and  if  at  that  time  the 
member  does  not  return  to  duty,  his  member- 
ship in  the  Relief  Fund  shall  thereupon  ter- 
minate, unless  otnerwi.ce  previously  arranged 
by  him  with  the  Superintendent. 

27.  When  a  member  resigns  from  the  ser- 
vice, or  leaves  the  service  without  notice,  or 
is  relieved  or  discharged  therefrom,  his  mem- 
bership in  the  Relief  Fund  shall  terminate 
with   his  employment,   and    he   shall   not  be 


u 

entitled  to  any  benefits  for  time  thereafter, 
except  such  as  he  may  be  entitled  to  by  rea- 
son of  disability  beginning  and  reported  be- 
fore, and  continuing  without  interruption  to 
and  after  such  termination  of  employment; 
provided,  however,  that  any  member  who  has 
been  continuously  in  the  service  three  years, 
and  a  member  of  the  Relief  Fund  one  year 
immediately  preceding  termination  of  his 
employment,  may  continue  his  membership 
thereafter,  but  only  in  respect  of  the  minimum 
death  benefit  which  he  has  held  at  any  time 
during  the  last  year,  or  of  any  smaller  amount, 
upon  making  and  forwarding  supplementary 
application  therefor  on  the  prescribed  form 
(to  be  obtained  from  his  employing  officer  or 
the  Superintendent  of  the  Relief  Department) 
before  termination  of  employment,  or  within 
live  days  thereafter. 

When  a  member  contributing  for  death 
benefit  only  after  termination  of  service  is 
again  re-employed,  he  shall  thereupon  resume 
full  membership  if  physically  qualified. 

A  person  entitled  to  benefits  for  time  after 
termination  of  service  shall  not  be  entitled  to 
benefits  on  account  of  sickness  beginning  or 
injury  occurring  during  such  time  ;  nor  on 
account  of  death  occurring  in  such  time,  un- 
less directly  due  to  the  sickness  or  injury  and 
occurring  during  the  disability  existing  at  the 
time  of  such  termination  of  service,  or  unless 
he  continues  his  membership  in.  respect  of 
death  benefit  only  in  accordance  with  the 
foregoing. 


15 

28.  When  a  member  absents  himself  from 
duty  for  a  period  of  six  days  without  the  per- 
mission of  his  employing  officer  previously 
obtained/ or  without  giving,  meanwhile,  rea- 
son for  absence,  satisfactory  to  his  employing 
officer,  he  shall  be  held  to  have  left  the  ser- 
vice without  notice,  and  his  membership  shall 
be  held  to  have  terminated  on  the  day  pre- 
ceding such  absence.  If  such  member  be 
reinstated  in  the  service,  he  may  be  also  rein- 
stated in  membership  upon  approval  of  the 
Superintendent. 

29.  If  a  member  is  relieved  from  service 
on  account  of  necessary  reduction  in  furce, 
and  is  afterwards  re-employed,  he  may  again 
become  a  member  of  the  Relief  Fund  upon 
passing  a  satisfactory  physical  examination, 
and  upon  approval  of  his  application  by  the 
Superintendent,  although  at  that  time  he  may 
be  over  forty-rive  years  of  age. 

30.  In  indicating  the  relations  of  the  Com- 
pany's service  of  employes  relieved  of  em- 
ployment and  pay  therein  the  following  terms 
shall  be  used  : 

"RESIGN  El>" -For  those  voluntarily  leaving  the 
service  and  giving  notice  to  employing  officer. 

"KELi  EVEO'  —  For  those  relieved  without  fault  on 
their  part. 

**1>1m  HARGED" — For  th^se  dismissed  "for  cause." 

"(JLJI'I" — For  those  who  leave  without  notice  to 
employing  officer. 

"1  U  Kl.<»  I'GII  El>" — For  those  who  have  been 
granted  leave  of  absence  for  a  specified  time. 

"SUSP E.N  DEI)"— -For  those  temporarily  relieved 
as  a  penalty  for  offence. 


16 

APPLICATIONS. 

31.  Membership  in  the  Relief  Fund  shall 
be  based  upon  an  application  in  the  following 
form  : 

Application  for  Membership  in  the  Relief  Fund  ot  the  Relief  Department 
of  the  Atlantic  Coast  Line  Railroad  Co. 

To  the  Superintendent  of  the  Belief  Depart- 
ment of  the  Atlantic  Coast  Line  Railroad 
Company  : 

I,  ,  of  in  the 

couuty  of  and  State  of  , 

now  employed  by  the  Atlantic  Coast  Line  Railroad 
Company,  do  hereby  apply  for  membership  in  the 
Relief  Fund  of  the  Reliei  Department  of  said  Company, 
and  consent  and  agree  to  be  bound  by  the  Regulations 
of  said  Relief  Department,  which  Regulations  I  have 
read  or  have  had  read  to  me,  and  by  any  ocher  Regula- 
tions of  said  Department  hereafter  adopted  and  in  force 
during  my  membership,  and  by  any  agreement  now  or 
hereafter  made  by  the  said  Company  with  any  other 
corporation  or  corporations  now  or  hereafter  associated 
with  it  in  the  administration  of  their  Relief  Departments. 

I  also  agree,  That  the  said  Company,  by  its  proper 
agents,  and  in  the  manner  provided  in  said  Regulation?, 
shall  apply,  as  a  contribution  from  any  wages  earned  by 
me  under  said  employment,  the  sum  of 
($  luo)  per  month,  for  the  purpose  of  securing  the 
benefits  provided  ;n  the  Regulations  for  a  member  of 
the  Relief  Fund  of  the  class,  with  ad- 

ditional death  beneht    of  the  first  class. 

Unless    I    shall    hereafter    otherwise    designate,    in 
writing,  with  the  approval  of  the  Superintendent  of  the 


17 

Relief  Department,  death  benefit  shall  be  payable  to  my 
wife  (husband),  if  I  am  married  at  the  time  of  my 
death;  or,  if  I  have  no  wife  (husband)  living,  then  to 
my  children  collectively,  each  to  be  entitled  to  an  equal 
share,  including,  as  entitled  to  the  parent's  share,  the 
issue  of  any  deceased  child  ;  or,  if  there  be  no  children 
or  such  issue  living,  then  to  if  living  ;  and 

if  not  living,  then  to  my  father  and  mother  jointly,  or 
the  survivor;  or,  if  neither  be  living,  then  to  my  next  of 
kin,  payment  in  behalf  of  such  next  of  kin  to  be  made 
to  my  legal  representatives ;  or,  if  there  be  no  such  next 
of  kin,  the  death  benefit  shall  lapse,  and  the  amount 
thereof  shall  remain  as  a  part  of  the  Relief  Fund,  with- 
out claim  for  the  same. 

Any  funeral  or  other  expenses  incident  to  my  death, 
which  shall  have  been  paid  by  the  Superintendent  of 
the  Relief  Department,  in  accordance  with  the  Regula- 
tions, shall  be  held  to  be  in  part  payment  of  the  said 
death  benefit,  and  shall  be  deducted  from  the  total 
amount  thereof  before  payment  to  the  person  or  per- 
sons entitled  to  receive  the  same. 

I  also  agree,  That,  in  consideration  of  the  amounts 
paid  and  to  be  paid  by  said  Company  for  the  mainte- 
nance of  said  Relief  Department,  and  of  the  guarantee  by 
said  Company  of  the  payment  of  said  benefits,  the 
acceptance  by  me  of  benefits  for  injury  shall  operate  as 
a  release  and  satisfaction  of  all  claims  against  said 
Company,  and  all  other  Companies  associated  therewith 
in  the  administration  of  their  Relief  Departments,  for 
damages  arising  from  or  growing  out  of  said  injury;  and 
further,  in  the  event  of  my  death  no  part  of  said  death 
benefit  or  unpaid  disability  benefit  shall  be  due  or 
payable  unless  and  until  good  and  sufficient  releases 
shall  be  delivered  to  the  Superintendent  of  said  Relief 
Department,  of  all  claims  against  said  Relief  Depart- 
ment, as  well  as  against  said  Company,  and  all  other 
Companies  associated   therewith    as    aforesaid,   arising 


18 

from  or  growing  out  of  my  death,  said  releases  having 
been  duly  executed  by  all  who  might  legally  assert 
such  claims  ;  and  further,  if  any  suit  shall  be  brought 
against  said  Company,  or  any  other  Company  associated 
therewith  as  aforesaid,  for  damages  arising  from  or 
growing  out  of  injury  or  death  occurring  to  me,  the 
benefits  otherwise  payable,  and  all  obligations  of  said 
Relief  Department  and  of  said  Company  created  by  my 
membership  in  said  Relief  Fund,  shall  thereupon  be 
forfeited  without  any  declaration  or  other  act  by  said 
Relief  Department  or  said  Company. 

1  also  agree,  That  this  application,  upon  approval 
by  the  Superintendent  of  the  Relief  Department,  shall 
make  me  a  member  of  the  Relief  Fund,  on  and  from  the 
date  specified  in  such  approval,  and  constitute  a  con- 
tract between  myself  and  the  said  Company,  and  that 
the  same  shall  not  be  avoided  by  any  change  in  the 
character  of  my  service,  or  locality  where  rendered, 
v  hile  in  the  employment  of  said  Company,  nor  by  any 
change  in  the  amounts  applicable  from  my  wages  to  the 
Relief  Fund,  which  I  may  hereafter  consent  to,  and  that 
the  agreement  that  the  above-named  amounts  shall  be 
appropriated  from  my  wages  shall  apply  also  to  any 
other  amounts  which  I  may  agree  to  pay  under  the  pro- 
visions of  said  Regulations,  by  reason  of  changes  made 
as  aforesaid,  and  shall  constitute  an  appropriation  and 
assignment  in  advance  of  such  portions  of  my  wages,  to 
the  said  Company  in  trust,  for  the  Relief  Fund,  for  the 
purpose  of  maintaining  my  membership  therein,  which 
assignment  shall  ha"ve  precedence  over  any  other  assign- 
ment by  me  of  my  wages,  or  of  any  claim  upon  them  on 
account  of  liabilities  incurred  by  me. 

I  also  agree,  That  my  being  transferred  to  the  ser- 
vice of  any  other  Company  associated  with  said  Com- 
pany in  the  joint  operation  of  their  Relief  Departments 
shall  operate  to  transfer  my  membership  in  the  Relief 


19 

Fund  of  said  Company  to  the  Relief  Fund  of  the  Com- 
pany to  the  service  of  which  I  am  transferred,  and  that 
this  application  and  contract  shall  thereupon  become 
binding  between  me  and  such  other  Company,  the  same 
as  if  originally  made  by  me  with  such  other  Company. 

1  also  agTPP,  For  myself  and  those  claiming  through 
me,  to  be  especially  bound  by  the  Regulation  providing 
for  final  and  conclusive  settlement  of  all  claims  for 
benefits  or  controversies  of  whatsoever  nature  by  refer- 
ence to  the  Superintendent  of  the  Relief  Department, 
and  an  appeal  from  his  decision  to  the  Advisory  Com- 
mittee. 

I  Certify,  That  I  am  correct  and  temperate  in  my 
habits  ;  that,  so  far  as  I  am  aware,  I  am  now  in  good 
health,  and  have  no  injury  or  disease,  constitutional  or 
otherwise,  except  as  shown  on  the  accompanying  state- 
ment made  by  me  to  the  Medical  Examiner,  which 
statement  shall  constitute  a  part  of  this  application. 

I  also  agree,  That  any  untrue  or  fraudulent  state- 
ment made  by  me  to  the  Medical  Examiner,  or  any 
concealment  of  facts  in  this  application,  or  any  attempt 
on  my  part  to  defraud  or  impose  upon  said  Relief  Fund, 
or  my  resigning  from,  or  leaving  the  service  of  the  said 
Company,  or  my  being  reliever1  or  discharged  there- 
from, shall  forfeit  my  membership  in  the  said  Relief 
Fund,  and  all  benefits,  rights  or  equities  arising  there- 
from, except  that  such  termination  of  rny  employment 
shall  not  (in  the  absence  of  any  of  the  other  foregoing 
causes  of  forfeiture)  deprive  me  of  any  benefits  to  the 
payment  of  which  I  may  be  entitled  by  reason  of  dis- 
ability beginning  and  reported  before  and  continuing 
without  interruption  to  and  after  such  termination  of 
my  employment,  nor  of  the  right  to  continue  my  mem- 
bership in  respect  of  death  benefit  only,  as  provided  in 
said  Regulations 


20 

In  witness  whereof,    I  have  signed    these   presents 
at  in  the  county  of  ,  State  of 

this         day  of  ,  A.  D.,  1  ;  this  application  to 

take  effect  upon  the  date  set  in   the  approval   by  the 
Superintendent  of  the  Relief  Department- 

The  following  changes  made  before  execution  : 


Witness 


The  foregoing  application  is  approved  at  the  office  of 
the  Superintendent  of  the  Relief  Department  at  Wil- 
mington, in  the  county  of  New  Hanover,  State  of 
North  Carolina,  this  day  of  ,  A.  D.,  1  , 

to  take  effect  the  day  of  ,  A.  D.,  1 


Superintendent  of  the  Helief  Department. 


The  last  application  in  the  foregoing  form, 
or  in  a  corresponding  earlier  form,  which 
shall  have  been  made  by  an  employe  shall  be 
known  as  his  "Principal  Application." 

Upon  the  approval  of  the  principal  appli- 
cation of  an  employe  by  the  Superintendent 
he  shall  be  a  member  on  and  from  the  date 
specified  in  such  approval,  and  the  Superin- 
tendent shall  issue  to  him  a  certificate  of  mem- 
bership attached  to  a  copy  of  the  Regulations 
then  in  force. 

32.  The  following  form  of  supplementary 
application  shall  be  used  by  members  apply- 


21 


ing  to   enter  higher  or    lower    classes,  or   for 
additional  death  benefit  or  reduction  therein  : 


Supplementary  Application. 

To  the  Superintendent  of  the  Relief  Depart- 
ment of  the  Atlantic  Coast  Line  Railroad 
Company  : 

I,  ,  of  ,  in  the 

county  of  and  State  of  , 

now  employed  by  the  Atlantic  Coast  Line  Railroad 
Company,  and  a  member  of  the  Relief  Fund  of  the 
Relief  Department  thereof,  by  virtue  of  my  former  prin- 
cipal application,  under  and  subject  to  the  conditions 
recited  in  said  principal  application  and  upon  the 
terms  thereof,  unless,  and  only  so  far  as  herein  modified, 
do  hereby  make  this  supplementary  application  for  the 
following,  namely  :  To  change  my  membership  in  said 
Relief  Fund  from  class  with  additional 

death  benefit     of  the  first  class,  to  class  with 

additional  death  benefit  of  the  first  class  ;  my  contri- 
bution, after  such  change  is  made,  to  be  at  the  rate 
of  ($     100 )  per  month  ;  this  appli- 

cation to  take  effect  on  the  date  set  in  the  approval  by 
the  Superintendent  of  the  Relief  Department. 

(a)  I  CERTIFY,  That  I  am  correct  aud 
temperate  in  my  habits;  that,  so  far  as  I  am 
aware,  1  am  now  in  good  health,  and  have 
no  injury  or  disease,  constitutional  or  other- 
wise, except  as  shown   in   the  accompanying 


22 
statement  made  by  me  to  the  Medical  Exam- 
iner, which  statement  shall  constitute  a  part 
of  this  application 


I  HEREBY  AGREE,  That  any  untrue  or 
fraudulent  statement  made  by  me  to  the 
Medical  Examiner,  or  any  concealment  of 
facts  in  this  application,  shall  make  this  sup- 
plementary application  void  and  of  no  effect. 


In  witness   whereof,    I   have  signed  these  pres- 
ents at  ,  in  the  county  of  ,  State  of 
this             day  of                 ,  A.  D.,  1       . 

The  following  changes  made  before  execution  : 


Witness 


The  foregoing  supplementary  application  is  approved 
at  the  office  of  the  Superintendent  of  the  Relief  Depart- 
ment at  Wilmington,  in  the  county  of  New  Hanover, 
vState  of  North  Carolina,  this  day  of  ,  A.  D., 

1       ,  to  take  effect  the  day  of  A,  D.,  1 


Superintendent  of  the  Relief  Department. 


Note  (a)  For  employes  who  are  not  required  to 
pass  a  physical  examination  upon  making  a  supple- 
mentary application,  the  underlined  words  will  be 
omitted. 


23 

If  any  applicant  for  membership  or  for 
change  in  membership  has  physical  defects 
which  would  preclude  the  approval  of  his 
application,  if  presented  unconditionally,  his 
application  may  nevertheless  be  approved, 
provided  that  he  executes  an  agreement  in 
writing,  satisfactory  to  the  Superintendent, 
to  the  effect  that  he  shall  not  be  entitled  under 
his  membership  to  any  benefits  for  disability 
caused  by,  arising  from,  or  growing  out  of 
such  defects,  such  agreement  to  be  attached 
to  and  to  be  a  part  of  his  said  application,  and 
such  modification  of  the  foregoing  prescribed 
forms  of  Application  is  hereby  authorized. 

33.  The  application  of  a  married  woman 
must  be  signed  also  by  her  husband,  and  that 
of  a  minor  by  the  father  or  legal  guardian, 
unless  otherwise  directed  by  the  Superinten- 
dent. 


24 

CONTRIBUTIONS. 

34.  The  word  "contribution"  wherever 
used  in  these  Regulations  shall  be  held  and 
construed  to  refer  to  such  designated  portion 
of  the  wages  payable  by  the  Company  to  an 
employe,  as  he  shall  have  agreed,  in  his  ap- 
plication, that  the  Company  shall  apply  for 
the  purpose  of  securing  the  benefits  ot  the 
Relief  Fund  ;  or  to  such  cash  payment  as  it 
may  be  necessary  for  a  member  to  make  for 
said  purpose. 

35.  Contribution  for  full  membership  shall 
be  made  monthly  in  advance,  at  the  follow- 
ing rates  :  First  class,  75  cents  per  month  ; 
second  class,  $1.50;  third  class,  $2.25; 
fourth  class,  $3.00;  fifth  class,  $3.75. 

36.  The  monthly  rate  of  contribution  for 
each  additional  death  benefit  of  the  first  class 
shall  be  determined  by  the  age  of  the  mem- 
ber at  the  time  of  taking  the  additional  death 
benefit,  and  shall  be  as  follows  :  For  a  mem- 
ber not  over  forty-five  years  of  age,  30  cents  ; 
over  forty-five  years  of  age,  45  cents. 

If  a  member  shall  increase  the  amount  of 
his  death  benefit  when  his  age  requires  a 
higher  rate  than  he  before  contributed,  the 
higher  rate  shall  apply-  only  to  the  increase. 

Contribution  for  death  benefit  only  shall  be 
paid  quarterly  in  advance,  and  shall  be  based 
on  the  age  of  the  member  at  the  time  of 
taking  such  death  benefit  ;  and  the  rate  for 
each  death  benefit  of  the  first  class  contained 


25 

in  the  death  benefit  of  his  class  shall  be  the 
same  as  herein  fixed  for  each  additional  death 
benefit  of  the  first  class. 

37.  Contributions  for  any  month  will  be 
due  on  the  first  day  of  that  month,  and  will 
ordinarily  be  dt-duct^d  from  the  member's 
wages  on  the  pay-roll  of  the  preceding  month. 

If  a  member's  contribution  is  omitted  from 
the  pay-roll  in  error,  the  fact  that  such  deduc- 
tion has  not  been  made  shall  not  debar  him 
or  his  beneficiary  from  benefits  to  which  they 
Otherwise  would  be  entitled. 

When  a  member  has  no  wages  on  the  pay- 
roll, any  contribution  due  from  him  must  be 
paid  in  cash  in  advance,  otherwise  he  will  be 
in  arrears.  A  member  in  the  service  shall 
make  such  c  ish  payment  to  the  Superinten- 
dent through  his  superior  officer  ;  a  member 
contrbuting  tor  death  benefit  only  shall  make 
such  cash  payment  to  the  Superintendent 
direct. 

38.  Benefits  shall  not  be  due  on  account 
of  disability  beginning  or  death  occurring 
while  a  member  is  in  arrears. 

When  a  member  is  in  arrears  for  two 
months  his  membership  shall  thereupon  cease. 

If  a  member  resumes  work  for  the  Com- 
pany before  he  has  been  in  arrears  two 
months,  he  shall  be  protected  from  the  time 
of  resuming  work,  and  tne  arrears  may  be 
paid  on  the  next  pay  roll. 

39.  No  deduction  on  account  of  contribu- 
tion to  the   Relief  Fund  shall  be  made  from 


the  pay  of  an  applicant  for  membership,  and 
no  increase  of  deductions  shall  be  made  from 
the  pay  of  an  applicant  for  increase  of  class 
or  additional  death  benefit  without  instruc- 
tions from  the  Superintendent,  and  any  de- 
duction made  to  the  contrary  shall  be  held  to 
have  been  made  in  error,  and  shall  be  re- 
funded if  the  application  is  not  approved. 

40.  When  a  member  recovers  from  dis- 
ability, his  contribution  for  the  remainder  of 
the  month  in  which  he  recovers,  if  not  already 
paid,  together  with  his  contribution  for  the 
following  month,  shall  be  deducted  on  the 
pay-roll  of  the  month  in  which  he  recovers. 

41.  In  determining  the  contribution  for 
part  of  a  month  the  amount  for  sach  day  shall 
be  one-thirtieth  of  the  amount  for  one  month, 
and  the  amount  for  any  other  part  of  a  monih 
shall  be  determined  by  multiplying  the  amount 
for  one  day  by  the  number  of  days  in  such 
part,  adding  to  make  even  cents  when  frac- 
tions occur. 

42.  In  determining  the  number  of  davs  in 
the  part  of  a  month  for  which  contribution  is 
to  be  collected,  the  day  on  which  application 
takes  effect  and  the  day  after  the  recovery  of 
a  member  from  disability  shall  be  included. 

43.  A  member  shall  not  make  contribu- 
tion for  any  time  of  disab  lity  beyond  the  end 
of  the  month  in  which  disability  begins  ex- 
cept as  specially  provided  in  the  Regulations. 
While  wages  are  paid  during  disability  the 
usual  contribution  shall  be  made. 


2? 

If  a  disabled  member  declines  to  accept 
benefits,  he  shall  contribute  for  and  be  en- 
titled to  death  benefit  only  while  disabled.  If 
such  member  afterwards  accepts  the  benefits 
to  which  he  is  entitled,  a  proper  adjustment  of 
contribution  shall  be  made. 

44.  When  a  member's  service  terminates 
there  shall  be  due  him  as  refund  any  excess  of 
contribution  he  may  have  made  above  what 
is  necessary  to  adjust  his  account  up  to,  but 
not  including,  the  last  day  of  service. 

Any  refund  of  contribution  due  at  the  ter- 
mination of  a  member's  service  shall  be  pay- 
able upon  application  therefor  by  the  member, 
and  shall  be  made  by  time  check  or  other- 
wise, in  conformity  with  the  financial  methods 
of  the  Company. 


DISABILITY. 

45,  Wherever  used  in  these  Regulations 
the  word  ''disability"  shall  be  held  to  mean 
physical  inability  to  work,  by  reason  of  sick- 
ness or  accidental  injury,  and  the  word  "dis- 
abled" shall  apply  to  members  thus  physically 
unable  to  work.  The  decision  as  to  when 
members  are  disabled  and  when  they  are  able 
to  work  shall  rest  with  the  medical  officers  oi 
the  Department. 

The  decision  as  to  whether  disability  at  any 
time  shall  be  classed  as  due  to  sickness  or  due 
to  accident,  and  as  to  whether  any  disability 
shall  be  considered  a  relapse  or  an  original 
disability,  shall  rest  with  the  medical  officers 
of  the  Department. 

When  a  disability  is  classed  as  a  relapse, 
the  time  ot  such  disability  shall  be  considered 
a  part  of  the  original  disability  in  determining 
the  length  of  time  for  which  benefits  may  be 
drawn  and  the  rate  at  which  benefits  are  pay- 
able. 

In  considering  the  question  of  disability, 
subjective  symptoms  or  alleged  feelings  will 
be  givt-n  due  weight,  but  these  in  themselves, 
unsupported  by  objective  or  discoverable 
symptoms,  shall  not  entiile  a  member  to  be 
considered  disabled. 


29 

BENEFITS. 

The  following  benefits  will  be  paid  to 
members  or  beneficiaries  entitled  thereto  in 
accordance  with  the  provisions  of  these  Regu- 
lations : 

Accident  Benefits. 

46.  Payment  for  each  day  of  disability 
classed  as  due  to  accident  for  a  period  not 
longer  than  fifty-two  (52)  weeks,  as  follows: 
To  a  member  of  the  first  class,  50  cents  ; 
second  class,  $1  ;  third  class,  $1.50;  fourth 
class,  $2  ;  fifth  class,  $2.50  ;  and  at  half  these 
rates  thereafter  during  the  continuance  of  dis- 
ability. 

Also  payment  to  or  in  behalf  of  the  mem- 
ber of  such  amounts  for  necessary  surgical 
treatment  as  may  be  approved  by  the  Chief 
Surgeon  ;  and  provision  by  the  Department 
for  free  surgical  treatment  of  the  member  in 
one  of  the  Hospitals  under  its  control  when 
requested  by  a  Medical  Examiner  of  the 
Department  and  authorized  bv  the  Superin- 
tendent or  Chief  Surgeon.  No  member  shall 
have  authority  to  contract  any  bills  against 
the  Department,  and  nothing  herein  shall  be 
held  to  mean  or  imply  that  the  Department 
shall  be  responsible  tor  the  payment  of  such 
bills  as  a  mrmber  may  contract  or  his  surgeon 
may  charge.  Bills  for  surgical  attendance, 
to  be  considered  by  the  Department,  must  be 
made  out  against  the  member  and  must  be 
itemized. 


To  establish  a  claim  for  accident  benefits 
the  accident  must  be  reported  immediately 
upon  its  occurrence,  and  there  must  be  exter- 
nal positive  and  visible  evidence  of  physical 
injury  bv  accident  sufficient  to  cause  imme- 
diate disability.  In  cases  of  aMeged  sprain, 
strain,  wrench,  and  the  like,  where  physical 
proof  of  disabling  injury  is  lacking,  the  mem- 
ber must  furnish  substantiated  history,  satis- 
factory to  the  Superintendent,  of  violence 
accidentally  inflicted,  sufficient  and  liable  to 
cause  disabling  injury,  otherwise  accident 
benefits  will  not  be  allowed. 

Disabilities  resulting  from  infection  of 
wounds,  not  disabling  at  the  time  of  injury, 
shall  be  classed  as  sickness. 

When  a  member  meets  with  any  accident 
from  which  disability  may  result,  and  on  ac- 
count of  which  he  wishes  to  reserve  the  right 
to  claim  accident  benefits,  he  shall  report  the 
accident  to  his  employing  officer  immediately 
upon  its  occurrence  and  also  report  in  person 
to  the  Medical  Examiner  the  same  as  is  pro- 
vided in  these  Regulations  in  case  of  actual 
disability. 

Sick  Benefits. 

47.  Payment  for  each  day,  except  for  the 
first  six  days,  of  disability  classed  as  due  to 
sickness,  for  a  period  not  longer  than  fifty- 
two  (52)  weeks,  at  the  same  rates  as  for  acci 
dent  benefits  ;  and  provision  by  the  Depart- 
ment for  free  medical  treatment  of  the  mem- 
ber, in  one  of  the  Hospitals  under  its  control, 


81 

in  cases  of  disability,  classed  as  due  to  sick- 
ness which,  in  the  opinion  of  the  Medical 
Examiners  of  the  Department,  may  require 
such  treatment,  and  when  approved  by  the 
Superintendent  or  Chief  Surgeon. 

To  establish  a  claim  for  sick  benefits  there 
must  be  positive  evidence  of  acute  or  consti- 
tutional disease   sufficient  to  cause  disability. 

The  dependent  members  of  the  families  of 
members  of  the  Fund  may  be  received  in  the 
Hospitals  under  the  control  of  the  Depart- 
ment for  medical  or  surgical  treatment,  when 
so  permitted  by  the  Superintendent  or  Chiet 
Surgeon,  and  for  this  privilege  reasonable 
rates  will  be  made. 

Death  Benefits. 


48.  Payment,  in  accordance  with  the  con- 
ditions prescribed  in  the  Regulations,  upon 
the  death  of  a  member,  as  follows:  To  the 
beneficiary  of  a  member  of  the  first  class, 
$250;  second  class,  $500;  third  class,  $750; 
fourth  class.  $1,000;  fifth  class,  $1,250. 
Also  payment  of  $250  for  each  additional 
death  benefit  of  the  first  class  to  which  the 
beneficiary  is  entitled. 

49.  A  member  shall  not  be  entitled  to 
benefits  for  disability  from  any  cause  while 
still  disabled  from  a  preceding  cause  for  which 
benefits  are  being  paid  under  these  Regula- 
tions, 


32 

In  case  of  relapse,  in  sickness  disability, 
occurring  within  two  weeks,  or  of  immediate 
succession  of  sickness  disability  upon  an  acci- 
dent disability  which  lasted  six  days  or  more, 
the  first  six  days  shall  not  be  deducted  in 
computing  time  of  sick  benefits  ;  and  where 
such  immediately  preceding  accident  disabil- 
ity lasted  five  days  or  less  the  number  of  days 
to  be  deducted  shall  be  six,  less  the  number  of 
days  of  such  accident  disability. 

50.  When  a  member  shall  have  received 
benefits  for  fifty-two  weeks,  in  the  aggregate 
of  all  disabilities  by  sickness,  from  the  Relief 
Fund  of  this  Company  and  of  all  oth^r  Com- 
panies now  or  heretofore  associated  therewith 
in  the  administration  of  their  Relief  Depart- 
ments, he  shall  not  be  entitled  to  further  dis- 
ability benefits.  He  may,  however,  make 
contribution  for  death  benefit  only,  such  con- 
tribution to  begin  at  the  expiration  of  said 
fifty-two  weeks,  and  to  be  at  the  rates  fixed  in 
these  Regulations  for  death  benefit  only, 
otherwise  his  membership  shall  cease. 

If  a  member  shall  have  drawn  sickness 
benefits  to  the  limit  as  above  provided  and 
shall  have  contributed  for  death  benefit  there- 
after for  at  least  six  months,  and  shall,  while 
so  contributing,  pass  a  satisfactory  physical 
examination,  he  may,  upon  approval  of  the 
Superintendent,  be  restored  to  full  mem- 
bership ;  except  that  in  the  event  of  dis- 
ability from  sickness  he  shall  only  be  entitled 


33 

to  benefits  for  twenty-six  weeks  in  the  aggre- 
gate of  all  disabilities  by  sickness,  and  there- 
after shall  be  entitled  to  contribute  for  death 
benefit  only  as  above  provided. 

51.  In  any  case  of  grave  injury  or  chronic 
sickness  where  the  member  desires  to  accept  a 
lump  sum  in  lieu  of  the  benefits  which  might 
become  due  to  him  or  on  his  account,  and  in 
full  of  all  obligations  of  the  Department  or 
Company  arising  from  his  membership  or 
service,  the  Superintendent  shall  have  author- 
ity to  make  full  and  final  settlement  with  such 
member  on  such  terms  as  may  be  agreed 
upon  in  writing.  All  such  settlements  shall 
be  reported  to  the  Committee  at  their  next 
meeting. 

52.  Benefits  on  account  of  continued  dis- 
ability will  be  paid  monthly.  Benefits  for 
short  periods  of  disability  will  be  paid  as  soon 
as  the  amounts  due  can  be  ascertained. 

Benefits  payable  on  account  of  the  disabil- 
ity of  a  member  shall  be  payable  only  to 
such  member,  or  in  accordance  with  his  writ- 
ten order  when  approved  by  the  Superinten- 
dent, or  to  his  legal  representatives  ;  but  pay- 
ment for  surgical  treatment  may  be  made  to 
the  attending  surgeon. 

When,  in  the  opinion  of  the  Superinten- 
dent, a  member  is  mentally  incompetent,  dis- 
ability benefits  due  to  him  may,  at  the  dis- 
cretion of  the  Superintendent,  be  paid  to  his 
wife  or  to  some  member  of  his  family,  or  to 
his  employing  officer,  for  the  use  and  benefit 
of  the  member,  and  such  payment  shall  be  a 


34 

bar  to  any  subsequent  claim  on  the  part  of  the 
member  or  his  legal  representatives  for 
amounts  so  paid. 

53.  Death  benefit,  together  with  any  un- 
paid disability  benefits,  shall  be  payable  to 
the  beneficiary  of  a  deceased  member  upon 
proof  of  claim  and  execution  and  delivery  of 
the  necessary  releases  in  conformity  with  these 
Regulations. 

A  part  of  the  death  benefit,  not  to  exceed 
one  hundred  dollars  ($100)  ,  may,  at  the  dis- 
cretion of  the  Superintendent,  be  paid  before 
final  settlement,  to  meet  funeral  or  other 
urgent  expenses  incident  to  the  death  of  a 
member. 

MISCELLANEOUS. 

54.  When  a  member  becomes  disabled  he 
shall  notify  his  time-keeper  immediately,  or 
cause  him  to  be  so  notified.  In  reporting 
disability  the  member  shall  also  give  his  ad- 
dress accurately.  If  he  fails  to  give  notice 
until  he  recovers,  he  shall  not  be  entitled  to 
benefits  unless  he  proves  his  disability  to  the 
satisfaction  of  the  Superintendent,  and  gives 
satisfactory  reason  for  failure  to  give  notice. 
If  he  gives  notice  during  his  disability,  but 
delays  in  so  doing,  he  shall  not  be  considered 
disabled  before  the  da}^  on  which  notice  is 
given,  unless  he  proves  his  disability  before 
that  day  to  the  satisfaction  of  the  Superinten- 
dent, and  gives  satisfactory  reason  for  delay 
in  giving  notice. 


35 

When  a  member  becomes  disabled  it  shall 
also  be  his  duty,  unless  incapacitated  there- 
from by  his  disability,  to  report  immediately 
in  person  to  the  Medical  Examiner  at  his  office 
during  office  hours,  if  the  member  resides  or 
becomes  disabled  in  or  goes  to  a  town  where 
there  is  a  Medical  Examiner.  It  shall  also 
be  the  duty  of  a  disabled  member  not  confined 
to  the  house  by  disability  to  report  at  the 
Medical  Examiner's  office  from  time  to  time, 
as  requested,  and  to  keep  any  other  appoint- 
ments made  by  the  Examiner.  Members  who 
avoid  the  Medical  Examiner,  or  neghct  to 
report  or  keep  appointments  as  herein  pro- 
vided, shall  not  be  entitled  to  benefits. 

If  a  member  who  has  been  reported  by  the 
Medical  Examiner  as  able  to  work  is  not  able 
to  work  on  the  day  set,  he  shall  immediately 
notify  his  employing  officer  to  that  effect,  and 
shall  immediately  communicate  with  the  Med- 
ical Examiner  and  report  to  him  in  person,  if 
possible,  otherwise  he  shall  not  be  considered 
disabled  on  or  after  the  day  set  for  his  return 
to  work. 

55.  When  a  member  becomes  disabled 
during  suspension,  furlough,  or  other  leave  ot 
absence,  and  while  away  from  his  usual  place 
of  residence  when  on  duty,  -he  shall  not  be 
entitled  to  benefits,  unless,  in  addition  to  re- 
porting his  disability  immediately,  as  required 
by  the  Regulations,  he  proves  his  disability 
while  absent  to  the  satisfaction  of  the  Super- 
intendent. 


36 

56.  When  a  disabled  member  wishes  to 
absent  himself  for  any  length  of  time  from 
his  usual  place  of  residence  when  on  duty,  he 
shall  obtain  from  the  Medical  Examiner  writ- 
ten approval  of  absence  for  a  specified  time. 
He  shall  furnish  to  the  Medical  Examiner 
satisfactory  certificates  of  disability  during 
absence,  keep  him  informed  of  his  address, 
and  report  to  him  immediately  upon  his  re- 
turn ;  and  if  such  disabled  member  goes  away 
and  remains  away  without  previously  consult- 
ing the  Medical  Examiner  and  obtaining  his 
written  approval  of  absence  for  a  specified 
time,  he  shall  not  be  entitled  to  benefits  for  any 
time  of  absence  unless  he  proves  his  disability 
while  absent  to  the  satisfaction  of  the  Super- 
intendent, and  gives  satisfactory  reason  lor 
failure  to  consult  the  Medical  Examiner  be- 
fore leaving. 

57.  Members  shall  not  be  entitled  to  bene- 
fits for  time  during  which  wages  are  paid 
them  by  the  Company.  In  computing  bene- 
fits the  time  of  disability  shall  be  considered 
as  beginning  upon  the  first  day  upon  which 
no  wages  or  less  than  one-half  day's  wages 
are  paid,  because  of  disability,  and  this  day 
shall  be  called  "first  day  wages  not  paid.'' 

58.  Benefits  shall  not  be  payable  for  dis- 
ability from  sickness  or  injuries  arising  in 
consequence  of  intoxication  or  while  intoxi- 
cated, or  resulting  from  or  prolonged  by  im- 
moral practices,  or  the  use  of  stimulants  or 
narcotics,  or  occurring  by  reason  of  incapac- 


37 

ity  for  self-protection  arising  from  some  such 
use,  or  from  voluntary  self-injury,  or  while 
engaged  in  unlawful  acts,  or  in  consequence 
thereof,  or  from  venereal  disease,  or  any  result 
of  such  disease,  or  especially  from  orchitis, 
or  epididymitis,  or  adenitis  of  the  groin,  or 
urethritis,  unless  one  or  more  of  these  appear 
as  complications  of  injury  or  of  disease  evi- 
dently non-venereal,  or  due  to  fighting,  un- 
less in  self-defence  against  unprovoked  as- 
sault, or  to  any  other  encounter,  such  as 
wrestling,  fooling,  and  the  like,  or  to  injury 
received  in  any  brawl,  or  in  any  liquor  saloon, 
gambling  house,  or  other  disreputable  resort. 
During  disability  coming  under  this  Regu- 
lation a  member  shall  contribute  for  and  be 
entitled  to  death  benefit  only. 

59.  Members  shall  not  be  entitled  to  bene- 
fits if  they  decline  to  permit  the  Medical  Ex- 
aminer to  make,  or  have  made  by  any  other 
physician,  such  examinations  as  he  may  deem 
necessary  to  ascertain  their  condition  when 
disability  is  claimed. 

Disabled  members  must  take  proper  care  of 
themselves  and  have  suitable  treatment. 
Benefits  will  be  discontinued  if  members  re- 
fuse or  neglect  to  comply  with  the  recom- 
mendations of  the  medical  officers  of  the 
Relief  Department  as  to  proper  care  and 
treatment. 

60.  Benefits  shall  be  paid  in  conformity 
with  the  financial  methods  of  the  Company, 
and  on  drafts  drawn  by  the  Superintendent, 
upon    his     receiving    satisfactory    certificates 


38 

respecting   the   claims    and    such    releases  as 
may  be  required  by  him. 

Any  claim  for  disability  benefits,  tc  be  valid, 
must  be  made  within  sixty  days  from  the  time 
when  such  benefits  accrued,  and  any  claim 
for  death  benefit,  to  be  valid,  must  be  made 
within  one  year  from  the  death  of  the  mem- 
ber, 

61.  Members  shall  keep  their  foreman  or 
time-keepers  informed  of  their  addresses. 

A  member's  place  of  residence  when  on 
duty  shall  be  held  to  be  'at  the  last  address 
given  to  his  time-keeper. 

Members  who  have  left  the  service,  but 
retain  their  membership  in  respect  of  death 
benefit  only,  shall  keep  the  Superintendent 
informed  of  their  addresses  by  notice  in 
writing,  and  the  Superintendent  shall  prompt- 
ly acknowledge  notification  of  any  address 
or  change  of  address. 

62.  In  case  of  injury  to  a  member  he 
may  elect  to  accept  the  benefits  in  pursuance 
of  these  Regulations,  or  to  prosecute  such 
claims  as  he  may  have  at  law  against  the 
Company  or  any  Companies  associated  there- 
with in  the  administration  of  their  Relief  De- 
partments. 

The  acceptance  by  the  member  of  benefits 
for  injury  shall  operate  as  a  release  and  satis- 
faction of  all  claims  against  the  Company  and 
all  other  Companies  associated  therewith  as 
aforesaid,  for  damages  arising  from  or  grow- 
ing out  of  such  injury  ;  and,  further,  in  the 
event  of  the  death  of  a  member  no  part  of  the 


39 

death  benefit  or  unpaid  disability  benefit  shall 
be  due  or  payable  unless  and  until  good  and 
sufficient  releases  shall  be  delivered  to  the 
Superintendent  of  all  claims  against  the  Relief 
Department,  as  well  as  against  the  Company 
and  all  other  Companies  associated  therewith 
as  aforesaid,  arising  from  or  growing  out  of 
the  death  of  the  member,  said  releases  having 
been  duly  executed  by  all  who  might  legally 
assert  such  claims  ;  and,  further,  if  any  suit 
shall  be  brought  against  the  Company  or  any 
other  Company  associated  therewith  as  afore- 
said, for  damages  arising  from  or  growing 
out  of  injury  or  death  occurring  to  a  member, 
the  benefits  otherwise  payable  and  all  obliga- 
tions of  the  Relief  Department  and  of  the 
Company  created  by  the  membership  ot  such 
member  in  the  Relief  Fund  shall  thereupon 
be  forfeited  without  any  declaration  or  other 
act  by  the  Relief  Department  or  the  Com- 
pany ;  but  the  Superintendent  may,  in  his 
discretion,  waive  such  forfeiture  upon  condi- 
tion that  all  pending  suits  shall  first  be  dis- 
missed. 

If  a  claim  for  damages  on  account  of  in- 
jury to  or  death  of  a  member  shall  be  settled 
by  the  Company,  or  any  Company  associated 
therewith  as  aforesaid,  without  suit,  or  by 
compromise,  such  settlement  shall  release  the 
Relief  Department  and  the  Company  from  all 
claims  for  benefits  on  account  of  such  injury 
or  death. 

63.  All  questions  or  controversies  of  what- 
soever character   arising  in   any   manner,  or 


40 

between  any  parties  or  persons  in  connection 
with  the  Relief  Department  or  the  operation 
thereof,  whether  as  to  any  claim  for  benefits 
preferred  by  any  member  or  his  legal  repre- 
sentatives or  his  beneficiary  or  any  other  per- 
son, or  whether  as  to  the  construction  of 
language  or  meaning  of  the  Regulations,  or 
as  to  any  writing,  decision,  instruction,  or 
acts  in  connection  with  the  operation  of  the 
Department,  shall  be  submitted  to  the  deter- 
mination of  the  Superintendent  whose  decis- 
ion shall  be  final  and  conclusive  thereof, 
unless  an  appeal  from  such  decision  shall  be 
taken  to  the  Committee  within  sixty  days 
after  notice  of  such  decision  to  the  parties 
interested. 

When  an  appeal  is  taken  to  the  Committee 
it  shall  be  in  writing,  and  shall  be  heard  by 
said  Committee  without  further  notice  at  their 
next  stated  meeting,  or  at  such  future  meeting 
or  time  as  they  may  designate,  and  shall  be 
determined  by  vote  of  the  majority  of  a 
quorum,  or  of  any  other  number  not  less  than 
a  quorum  of  the  members  present  at  such 
meeting,  and  the  decision  arrived  at  thereon 
by  the  Committee  shall  be  final  and  conclu- 
sive upon  all  parties  without  exception  or 
appeal. 


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